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Related Concept Videos

Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...

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Doppler Optical Coherence Tomography of Retinal Circulation
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Published on: September 18, 2012

Implementation of Teleretinal Screening Using Optical Coherence Tomography in the Veterans Health Administration.

Sahar Ashrafzadeh1,2, Bradley S Gundlach1,2, Irena Tsui1,2,3,4

  • 1Department of Ophthalmology, David Geffen School of Medicine, University of California, Los Angeles, California, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|July 23, 2021
PubMed
Summary
This summary is machine-generated.

A pilot tele-optical coherence tomography (tele-OCT) program successfully extended eye care resources. This initiative reduced unnecessary in-person visits, improving patient management and retina clinic accessibility for diabetic retinopathy screening.

Keywords:
maculaophthalmologyoptical coherence tomographyretinal diseasestelemedicine

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Area of Science:

  • Ophthalmology
  • Medical Technology
  • Telemedicine

Background:

  • The Veterans Health Administration (VHA) utilizes teleretinal screening for diabetic retinopathy.
  • Optical coherence tomography (OCT) is a standard diagnostic tool in eye clinics.
  • A pilot tele-OCT program was implemented within the VHA to leverage existing resources.

Purpose of the Study:

  • To evaluate the initial year of a pilot asynchronous tele-OCT program.
  • To assess the impact of tele-OCT on patient referrals and follow-up adherence.
  • To determine if tele-OCT could reduce the need for in-person retina evaluations.

Main Methods:

  • Retrospective chart review of patients evaluated via asynchronous tele-OCT in 2019.
  • Analysis of electronic medical records for demographic and clinical characteristics.
  • Assessment of tele-OCT consult outcomes and patient adherence to follow-up plans.

Main Results:

  • 158 tele-OCT consults were conducted, with 71.5% managed in originating clinics.
  • 17.1% of patients were referred for intravitreal injections, and 7.6% to retina clinic.
  • Overall patient adherence to tele-OCT follow-up plans was 76.4%, higher in symptomatic patients.

Conclusions:

  • The tele-OCT program effectively reduced unnecessary in-person visits and increased retina clinic capacity.
  • Tele-OCT demonstrated high follow-up adherence, particularly among patients requiring treatment.
  • Tele-OCT serves as a valuable tool for extending tertiary eye care resources and enhancing patient outcomes.